Individual provider Active NPI

Mia Gabriella Galassi, CRNA

  • Certified Registered Nurse Anesthetist
National Provider Identifier
1013582055
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95001564 Issued in CA
Practice address
PSC 836 Box 2670
Fpo, AE 09636-9998
Phone
(999) 999-9999
NPI assigned
May 21, 2021
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95001564 CA Primary

Addresses

Primary practice location

PSC 836 Box 2670
Fpo, AE 09636-9998

Mailing address

2435 Avenida Mastil
San Clemente, CA 92673-3637
Phone (949) 412-4285

Other practice location 1

101 The City Dr S
Orange, CA 92868-3201
Phone (949) 412-4285

Other practice location 2

34800 Bob Wilson Dr
San Diego, CA 92134-2538
Phone (619) 532-6400

Other practice location 3

Naval Medical Center
100 Brewster Blvd
Camp Lejeune, NC 28547-2538
Phone (949) 412-4285

Other practice location 4

Naval Hospital Camp Pendleton
200 Mercy Circle
Camp Pendleton, CA 92055-5191
Phone (760) 725-1288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240806004493 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860885761 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Medical DoctorsGroup PAC ID 2961305651, 168 clinicians
Samantha Polikowski Anesthesia IncGroup PAC ID 1951742543, 36 clinicians

Practice addresses (Care Compare)

521 E Elder St
Suite 104
Fallbrook, CA 92028-3082
Phone (760) 728-9560

835 3Rd Ave
Suite a
Chula Vista, CA 91911-1352
Phone (619) 425-7755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95001564CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Temecula Ca United Surgery Center LP Anesthesiology CurrentSince Jul 22, 2024 Accepting new patients
United Medical Doctors CurrentSince Jan 16, 2025 Accepting new patients
Temecula Ca United Surgery Center, LP CurrentSince Jul 22, 2024 Accepting new patients
Temecula Ca Endoscopy ASC LP Anesthesiology CurrentSince Jul 22, 2024 Accepting new patients
Concierge Anesthesia Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
Temecula Ca Endoscopy ASC LP Current Accepting new patients
Regents of the University of Anesthesiology CurrentSince Oct 3, 2024 Accepting new patients
United Medical Doctors Nurse Anesthetist, Certified Registered CurrentSince Jan 16, 2025 Accepting new patients
Samantha Polikowski Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2024 Accepting new patients

Locations

835 Third Ave
Ste A
Chula Vista, CA 91911
Phone (619) 425-7755

2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191

488 E Valley Pkwy
Ste 100
Escondido, CA 92025
Phone (760) 546-4386

521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560

25150 Hancock Ave
Ste 208
Murrieta, CA 92562
Phone (951) 698-8805

25405 Hancock Ave
Ste 103
Murrieta, CA 92562
Phone (909) 698-4670

25485 Medical Center Dr
Ste 106
Murrieta, CA 92562
Phone (585) 755-0523

40663 Murrieta Hot Springs Rd
Ste C1
Murrieta, CA 92562
Phone (951) 200-6791

400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398

3903 Waring Rd
Oceanside, CA 92056
Phone (760) 724-3293

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

200 S Manchester Ave
Ste 300
Orange, CA 92868
Phone (714) 424-9001

3939 3rd Ave
San Diego, CA 92103
Phone (619) 296-8525

3939 Ruffin Rd
San Diego, CA 92123
Phone (619) 299-9530

8705 Complex Dr
Ste 202
San Diego, CA 92123
Phone (858) 302-2502

816 E Enos Dr
Ste B
Santa Maria, CA 93454
Phone (805) 347-7813

4472 Broad St
Ste 150
Sn Luis Obisp, CA 93401
Phone (805) 364-8450

31469 Rancho Pueblo Rd
Ste 100
Temecula, CA 92592
Phone (951) 249-5540

41900 Winchester Rd
Temecula, CA 92590

3180 Willow Ln
Ste 118
Thousand Oaks, CA 91361
Phone (805) 766-6319

696 Hampshire Rd
Ste 100
Westlake Vlg, CA 91361
Phone (805) 413-7920

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1013582055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 AVENIDA MASTIL",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926733637",
            "telephone_number": "949-412-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "PSC 836 BOX 2670",
            "city": "FPO",
            "state": "AE",
            "postal_code": "096369998",
            "telephone_number": "999-999-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 The City Dr S",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683201",
            "country_code": "US",
            "telephone_number": "949-412-4285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34800 Bob Wilson Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921342538",
            "country_code": "US",
            "telephone_number": "619-532-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Naval Medical Center",
            "address_2": "100 Brewster Blvd",
            "address_purpose": "LOCATION",
            "city": "Camp Lejeune",
            "state": "NC",
            "postal_code": "285472538",
            "country_code": "US",
            "telephone_number": "949-412-4285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Naval Hospital Camp Pendleton",
            "address_2": "200 Mercy Circle",
            "address_purpose": "LOCATION",
            "city": "Camp Pendleton",
            "state": "CA",
            "postal_code": "920555191",
            "country_code": "US",
            "telephone_number": "760-725-1288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALASSI",
        "first_name": "MIA",
        "middle_name": "GABRIELLA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.